Organization
INTERIM HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PETRUS (MEDICAL ECORDS)
(716) 852-5900
Entity
Organization
Contact information
Practice address
360 DELAWARE AVE FL 3, BUFFALO, NY 14202-1620
(716) 852-5900
Mailing address
360 DELAWARE AVE FL 3, BUFFALO, NY 14202-1620
(716) 852-5900
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
189121
NY
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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